MS. JILL LOUISE CACCIABANDO (APNP) – Nurse Practitioner, NPI 1356378467
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
7,023 NURSE PRACTITIONER in MO
Provider Addresses for MS. JILL LOUISE CACCIABANDO (APNP)
PO BOX 955534
SAINT LOUIS, MO 631955218
Phone:
Type: Mailing
8571 Watson Rd
Saint Louis, MO 631195218
Phone: (855) 925-4733
Fax: (314) 918-1130
Type: Location
420 E Division St
Fond Du Lac, WI 549354560
Phone: (314) 989-6807
Type: Location
1821 S Stoughton Rd
Madison, WI 537162257
Phone: (314) 989-6807
Fax: (314) 989-2940
Type: Location
30 RONNIES PLZ
SAINT LOUIS, MO 631263552
Phone: (314) 989-6807
Type: Location
Watson Rd, Crestwood, Saint Louis County, Missouri, 63126, United States
SAINT LOUIS, MO 631195218
Phone: (855) 925-4733
Fax: (314) 918-1130
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-03-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060411000271 | I | Nurse Practitioner | IL | TBD |
| I20060921000282 | I | Nurse Practitioner | MO | TBD |
| I20211008002204 | I | Nurse Practitioner | WI | TBD |
| I20220323002831 | I | Nurse Practitioner | OK | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 58 | 58 | $0 |
Insurance plans in this area (ZIP 63195)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| Physician Assistant | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| - | MO | |
| - | MO | |
| Interventional Pain Management, Anesthesiology | MO |
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